Michele E. Wolfson Broder, MS, CNS NUTRITION

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

427 N Broadway
Sleepy Hollow, NY 10591-1612

Phone

(914) 424-2912

NPI assigned

Jan 29, 2020

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1902437825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911612",
            "telephone_number": "914-424-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911612",
            "telephone_number": "914-424-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODER",
        "first_name": "MICHELE",
        "middle_name": "E. WOLFSON",
        "credential": "MS, CNS NUTRITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Breakstone, M.D.
• Richard Howard Brent, M.D.
• Brian H Chon MD PLLC
• Brightwaters Gynecology PC (Phelps Memorial Hospital Association)
• Marcela Andrea Briones-Levin
• Amanda R Brown, RN
• Kevin R Brown, M.D.
• Tudi-Max Brown, MD
• Taylor Burg, MS, CGC
• Michael P. Butman, MD

• Nutritionist in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.